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Wisconsin rates for HCPCS 73564

Radiologic Exam Knee Complete 4/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.71 / $23.22 / $27.95
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.01 / $385.02 / $622.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.56 / $87.00 / $347.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.65 / $27.36 / $126.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$124.11 / $361.94 / $740.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.14 / $24.58 / $46.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.57 / $65.72 / $237.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.70 / $92.01 / $257.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.78 / $24.16 / $67.31
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.58 / $148.63 / $414.16
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.14 / $67.27 / $196.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $42.08 / $63.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $33.70 / $44.79
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.02 / $116.89 / $155.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.48 / $166.09 / $188.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.86 / $39.08 / $44.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.78 / $127.01 / $144.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $251.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$165.02 / $434.44 / $665.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $114.04 / $297.63
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.19 / $35.77 / $100.80
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.14 / $79.89 / $229.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $40.15 / $77.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $127.08 / $170.04
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $165.02 / $165.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $210.40 / $297.63
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.11 / $55.70 / $87.52
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.50 / $155.30 / $229.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.39 / $261.62 / $295.99
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.78 / $31.35 / $65.05
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.62 / $60.61 / $185.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $91.91 / $184.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.95 / $25.66 / $48.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.84 / $64.15 / $135.59